Al-Subahi Moayad, Alayat Mohamed, Alshehri Mansour Abdullah, Helal Omar, Alhasan Hammad, Alalawi Ahmed, Takrouni Abdullah, Alfaqeh Ali
Physiotherapy Department, Faculty of Applied Medical Sciences, Umm Al-Qura University: PO Box 715, Postal Code 21421, Makkah, Saudi Arabia.
Department of Basic Sciences, Faculty of Physical Therapy, Cairo University, Egypt.
J Phys Ther Sci. 2017 Sep;29(9):1689-1694. doi: 10.1589/jpts.29.1689. Epub 2017 Sep 15.
[Purpose] The aim of this study is to investigate the effectiveness of physical therapy interventions in the treatment of sacroiliac joint dysfunction (SIJD). [Subjects and Methods] MEDLINE, PUBMED, CINAHL, AMED, PEDro, and CIRRIE databases were searched and only relevant data from studies that matched the inclusion criteria were included. CASP tools for critical appraisal were used to assess the quality of studies included. [Results] Nine articles met the inclusion criteria, of which, three examined the effect of exercise on SIJD, three used kinesio tape and four studies examined the effect of manipulation. Various outcomes were used including the visual analogue pain scale (VAS), Oswestry disability questionnaire (ODQ), numerical pain rating scale (NPRS) and pelvic position measurement (PALM, pelvimeter and photogrammetry). The quality of included studies ranged from low to average as the CASP tools revealed several limitations that affect the validity of the studies. The results showed that physiotherapy interventions are effective in reducing pain and disability associated with SIJD, with manipulation being the most effective approach and most commonly used within physical therapy clinics. [Conclusion] Manipulation, exercise and kinesio tape are effective in the treatment of pain, disability and pelvic asymmetry in SIJD.
[目的]本研究旨在探讨物理治疗干预措施治疗骶髂关节功能障碍（SIJD）的有效性。[对象与方法]检索了MEDLINE、PUBMED、CINAHL、AMED、PEDro和CIRRIE数据库，仅纳入符合纳入标准的研究中的相关数据。使用用于批判性评价的CASP工具评估纳入研究的质量。[结果]9篇文章符合纳入标准，其中3篇研究了运动对SIJD的影响，3篇使用了肌内效贴，4篇研究了手法治疗的效果。使用了各种结局指标，包括视觉模拟疼痛量表（VAS）、Oswestry功能障碍问卷（ODQ）、数字疼痛评分量表（NPRS）和骨盆位置测量（PALM、骨盆测量仪和摄影测量法）。由于CASP工具揭示了一些影响研究有效性的局限性，纳入研究的质量从低到中等。结果表明，物理治疗干预措施在减轻与SIJD相关的疼痛和功能障碍方面有效，手法治疗是最有效的方法，也是物理治疗诊所最常用的方法。[结论]手法治疗、运动和肌内效贴在治疗SIJD的疼痛、功能障碍和骨盆不对称方面有效。
